However, the trials require much more preparation than trials of conventional medicine and individual trial components blinding, placebo, consistency of intervention even if individualised, etc often need extensive piloting before the trial. Although randomised controlled trials are the accepted standard of clinical research, NCCAM values other types of high quality research, including careful observational studies.
For many complementary and alternative therapies, there is no reliable information concerning the types of practices used for particular diseases or conditions; the numbers and types of patients who use them; how the practices are delivered including dose used ; how well patients respond to treatment; and relevant side effects.
These issues can be investigated in observational studies. In addition, observational studies afford pragmatic ways of answering some types of questions, such as the evaluation of rare adverse events, as well as being a viable research option when randomisation of patients might be considered unethical or unacceptable. The conduct of high quality research on complementary and alternative medicine requires a commitment by the research community, as well as sustained financial support from governments and industry.
Complementary and Alternative Therapies
This commitment is essential if the public and healthcare providers are to have sufficient information on safety and efficacy to make informed decisions concerning use of complementary and alternative medicine. We envision that compelling data will facilitate meaningful interactions between conventional and complementary practitioners and ultimately lead to the development of interdisciplinary partnerships that incorporate validated complementary practices into patient care. National Institutes of Health data show steep growth in expenditure on dietary supplements.
- Allocation of resources.
- Complementary and Alternative Therapies Research!
- Recetas para novatos: Más allá del bocadillo de chóped (Spanish Edition);
- Top Authors.
- Clinical trials.
National Center for Biotechnology Information , U. Journal List BMJ v. Author information Copyright and License information Disclaimer. R L Nahin vog. This article has been cited by other articles in PMC. Summary points Many early clinical trials investigating complementary and alternative medicine have had serious flaws.
Clinical investigations of complementary and alternative medicine are made difficult by factors such as use of complex, individualised treatments and lack of standardisation of herbal medicines. Other problems include difficulties in accruing, randomising, and retaining patients and in identifying appropriate placebo interventions.
Despite these complexities, rigorously designed clinical trials are possible, including pragmatic studies of complete complementary and alternative medicine systems. Strong commitment is required from the research community to provide information about complementary and alternative medicines to the public and health professionals. Allocation of resources Staff at the centre are often asked why limited resources are being spent on research that is perceived as replicating previously published work, especially when other western countries have already integrated some of these practices into standard care.
Public health importance of disease being treated greatest weight to diseases associated with highest mortality or morbidity or for which conventional medicine has not proved optimal. Open in a separate window. Problems with research design Although many people in the United States self medicate with dietary supplements, many others seek care from practitioners of traditional systems of medicine, including Ayurveda from India , Kampo from Japan , traditional Chinese medicine, Native American medicine, and more recently developed systems such as naturopathy and chiropractic. Approaches to good design Given the complex nature of diagnosis and treatment in traditional systems of medicine, how should we design clinical trials?
Trends in alternative medicine use in the United States, Results of a follow-up national survey.
A burgeoning body of work
Current trends in the integration and reimbursement of complementary and alternative medicine by managed care, insurance carriers, and hospital providers. Am J Health Promot. National Center for Complementary and Alternative Medicine. Five year strategic plan. St John's wort for depression—an overview and meta-analysis of randomized clinical trial.
About complementary and alternative therapy research
The efficacy of Ginkgo biloba on cognitive function in Alzheimer disease. Saw palmetto extracts for treatment of benign prostatic hyperplasia. Glucosamine and chondroitin for treatment of osteoarthritis: Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. List of these research initiatives. Use of alternative therapies: J Pain Symptom Manage. Association between use of unconventional therapies and conventional medical services.
Complementary and alternative medicine use among elderly persons: Attitudes towards and participation in randomised clinical trials in oncology: Jenkins V, Fallowfield L. Reasons for accepting or declining to participate in randomized clinical trials for cancer therapy. Multiple risk factor intervention trial.
Risk factor changes and mortality results. The power of nonspecific effects in healing: Recent research and implications for family medicine. Eskinazi D, Muehsam D. Factors that shape alternative medicine: Altern Ther Health Med.
Vincent C, Lewith G. Placebo controls for acupuncture studies. J R Soc Med.
Complementary and Alternative Therapies
Methodological and ethical issues in clinical trials of acupuncture. J Altern Complement Med.
Birch S, Jamison RN. In chapters that cover massage and acupressure, acupuncture, tai chi, yoga and pilates, exercise, music and aroma therapy, hypnosis, biofeedback, progressive relaxation, meditation, and the use of imagery, the author documents the positive emotional, behavioral, physiological, and biochemical effects of these therapies as well as proposed mechanisms of change. Additional information is provided on two major psychotherapies that have been shown to successfully integrate several of complementary therapies into traditional frameworks.
Although focused primarily on adults, the book offers data and guidance on pediatric populations as well. Clear information on the training and credentials of complementary and alternative therapy practitioners and contact information on professional associations is provided, so that psychotherapists can have confidence in making referrals to and then working with these other practitioners in the context of psychotherapy.
The information presented throughout is easily accessible to graduate students and to novice and seasoned clinicians and researchers. The Best Books of Check out the top books of the year on our page Best Books of Product details Format Hardback pages Dimensions Looking for beautiful books? Visit our Beautiful Books page and find lovely books for kids, photography lovers and more.